Premier Group Home

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

PREMIER GROUP HOME

Practice address

1122 Essex Dr
Wellington, FL 33414-5606

Phone

(561) 568-5008

NPI assigned

Oct 23, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kemlie B Dort

Title

Administrator

Phone

(561) 568-5008

Specialties & licenses 1

Addresses

Other names 1

• Premier Group Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1851163075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 ESSEX DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145606",
            "telephone_number": "561-568-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 ESSEX DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145606",
            "telephone_number": "561-568-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "DORT",
        "authorized_official_first_name": "KEMLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-568-5008"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Prashad, M.A, M.SC
• Precision Dermatology
• Precision Wound Specialists LLC
• Jenelle Prefontaine, APRN
• Premier Family Health
• Premier Healthcare Partners, LLC
• Premier Orthodontic and Pediatric Dentistry
• Premier Physician Holdings, LLC
• Premier Psychiatry of Wellington
• Premier Urgent Care Center, LLC

• Home Health Registered Nurse in Wellington, FL
• Providers in Wellington, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.